Provider Demographics
NPI:1215376645
Name:MCCOY, CHRISTINA MARSALISI (DO)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:MARSALISI
Last Name:MCCOY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:6775 CROSSWINDS DR N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33710-5471
Mailing Address - Country:US
Mailing Address - Phone:727-381-8006
Mailing Address - Fax:
Practice Address - Street 1:2200 56TH ST S
Practice Address - Street 2:
Practice Address - City:GULFPORT
Practice Address - State:FL
Practice Address - Zip Code:33707-5004
Practice Address - Country:US
Practice Address - Phone:727-381-8006
Practice Address - Fax:727-381-9629
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-19
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOS13340207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine